HomeMy WebLinkAbout4001 Tumwater Truck Route Address:
4001 Tumwater Truck Route
CERTIFiCATE OF 6�.CCUPANCY
City'-p Fort An ision
geles 7 Rui ing-Div.
of Section M of the 2609 International Building
This certificate is issued, yant to the requirements,
Code certifying that atAe`ii;ni6f issuanq ucture was in compliance with the various ordinances
this str
".c91sir1i6tioW_bj�_'-use_fiqr thef
U1
of the City regitlating,b 7#
�9116`wing---
e k
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Business name- H -`j
Business address.-,',-! i:,,'��,,:400,1,�Tumweitijri.Tf.Ock,'
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Business owner: 1,_i amd'� & Denette.E6
gewo -th,P
Business owner'AW 313 Ed "o-d b rt--,A- I" Wkg,8863
nae es-1
Automaticfire spiiinkleri-system:
Use &occupancy Missification: Busin,oss-
"a
Occupant load: �Ik P&-2009 IBC,
Type of construction
ZZ:
3/29/2013
-n&jvlan e'ri
dd.,Woberas�, nni
Date
.,This-, e ,i nai be removed except by the Buflding Official.
Post on the premises in a conspicuous pla e "t-00
CERTIFICATE OF OCCUPANCY APPLICATION Permit# / )b
FEES
CITY OF PORT ANGELES $50:DCer if icate/Inspection
Attn: Permit Technician
0 Pa
321 E. Fifth St., Port Angeles, WA 98362 0 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360)417-4711 fee charged for bowntown locations
PI-EA.5E PRINT IN INK
Check one: New business in P.A.?0 Change of ownership only? Moving location from within P.A. Zoning
BUSINESS NAME_ --T�e-- 4(fe;tc11fyiC_- Inc.,
Business address 416p I 71_4mum� 72-h qjC Mailing address 6,r4 ry)-e—
Phone number ,_'�J66 -J-)SQ- 31,5 7 _Openingdate IQ- 0- 12Days & hours of operation M ��,30 �,-oc)
Business owner's name Tam --s C� Gcfzc�,- 4-c - L-��- -Conitact phone 3�()-jv5j- -�304U
Business owner's address J 74� Az P,4 kl,4 Vf36 3
Br ief description of business /1)(k A <L IR 0 14 1
Property owner's name Tnmc-__-5 q= -i Ll--L Contact p one 100
Property owner's address/contact, .3 1 a 1 I_LJA qn,3461S
BUILDING DEPARTMENT phone 417-4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes 0 No
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes D No
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business?
Is business moving within the PBIA? Yes 0 NoA
CITYCLERK phone 417-4634 city
Second-hand dealer/pawn broker business? Yes F] NA City
Will there be dancing at this business? Yes D Nox
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pa;7nbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page I of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 4174750 CED approval by on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PWE approval by_on- -----
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling, work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes 11 N 9X
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes El N OK
If yes, what will be discharged:
Call for Certificate of OccupancV inspections BEFORE openinq business.
Building Department Inspection 417-4815
. Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of
permit.
Datel� )0-12 PrintName z, e-1t,111'3 Signature -Z L
Tz
T:Torrns\Bui1ding DivisionTertificate of Occupancy Application(2010).doc
Page 2 of 2
PORT,A.i... CERTIFICATE OF OCCUPANCY APPLICATION Permit#
FEES
I V. CITY OF PORT ANGELES 0 Cer if icate Inspection
Attn: Permit Technician
321 E. Fifth St., Port Angeles, WA 98362 0 Park ing Business Improvement Area (PBIA)
(360) 417-4815 fax (360) 417-4711 fee charged for bowntown locations
PLEASE PRINT IN INK
Check one: New business in P.A.TD Change of ownership only? 0 Moving location from within P.A.?/VQf Zoning
C, 0
BUSINESS NAME -7Lf_- Ty1c.
Business address- 7Z�ty-)ula4z�y yrA fi�c. Mailing address 5ci ri-i t,
Phone number_,_:�.60 -L16 3 L5 7 -Opening date 1-7- 1 IDays & hours of operationm -,�,-4 ;�.30 1--00
Business owner's name T,-,-w ff 5 ef 111,7�s Contact phone. 3�()-J-1si- --3044/
Business owner's address
I , ) ulacid ZJI kZ,4 !1(4�363
Br ief description of business a&_-K
Property owner's name
.:T _,k� o Z4 j 100
C ntact r)hone
Property owner's address/contact 3 1 f-Jain-b oorl 1-k/ La A 13.6-S
BUILDING DEPARTMENT phone 417-4815 �appro al by on
Is the business a restaurant or bar that will seat 50 or more people? Yes El No K
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by_on
Changes to a fire sprinkler system or fire alarm system? Yes 11 No D
Work planned:
PBIA (Parking Business Improvement Area -Downtown) phone 417-4623
Square footage of business? PBIA notified-on
Is business moving within the PBIA? Yes 10 No
CITY CLERK phone 4174634 City Clerk approval b on
Second-hand dea ler/pawn broker business? Yes P N(2,A1
Will there be dancing at this business? Yes D NoX
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page I of 2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PWE approval by_on
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling, work in City right-of-way,
new driveway openings, site drainage, parking lots, down,spouts,
irrigation system backflow devices, etc.). Yes 0 N
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes N OK
If yes, what will be discharged:
Cali for Certificate of OccupancV inspections BEFORE openinq business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of
permit.
Date/�—)0-12 Print Name Ineftl(f-L(f-- Z, Signature
z
TAFonms\Building DivisionkCerl;ficate of Occupancy Application(2010).doc
Page 2 of 2
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O�. ORr'lAr", CERTIFICATE OF OCCUPANCY APPLICATION Permit#
FEI
te/I nsp
e __7
FEES
CITY OF PORT ANGELES
Attn: Permit Technician $50 Cer if icate/Inspection
a
ss
321 E. Fifth St., Port Angeles, WA 98362 ,
0 Parking Business Improvement Area (PSIA)
(360)417-481:5 fax(360)417-4711 rfee charged for bowntown locations
PL-EASE PRINT IN INk'
Check one: New business in P.A.?:] Change of ownership only? :1 Moving location from within P.A.? Zoning
BUSINESS NAME__7,6c�'.
y
Business address fy)uler� 7-� 9&. Mailing address
Phone number.7�-60 -L�5�- -5j,�5 7 Openingdate4q 2Days & hours of operation /Y
Business owner's name
Contact phone
Business owner's address . 1 1 ff'i:3 6 3
Brief description of business,
flc Azl:,
Property owner's name -wo
-Contact nho e ZA 0 - 1,700
3
Property owner's address/contact_,�i. , __z t f
Bldg approval b
BUILDING DEPARTMENT phone 417-4815 P�, y_on
Is the business a restaurant or bar that will seat 50 or more people? Yes0 No-
K
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653
Fire approval by
)A-r--on ba
Changes to a fire sprinkler system or fire alarm system? Yes :1 No
Work planned: E
PBIA (Parking Business Improvement Area -Downtown) phone 41 7-4623
Square footage of business? PBIA notiried-on_
Is business moving within the PBIA? Yes _1 No
CITY CLERK phone 417-4634
City Clerk approval bY_-on
it
Second-hand dealer/pawn broker business?Yes ��' N
Will there be dancing at this business? Yes :__j Nox,
A Cit'y of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance,
Hotel-Motel, Fireworks., Ambulance, and Tattoo Businesses.
Page I of 2
PREPARED 12/17/12, 16:15:10 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/17/12
------------------------------------------------------------------------------------------------
ADDRESS . : 4001 TUMWATER TRUCK RT SUBDIV:
CONTRACTOR : PHONE
OWNER BLAKE SAND & GRAVEL INC PHONE
PARCEL 06-30-09-5-3-9060-0000-
APPL NUMBER: 12-00001612 CO- CHANGE OF OCCP/USE
------------------------------------------------------------------------------------------------
PERMIT: CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------- ------------------------------------------------------------------
0099 01 12/17/12 BLDG C/O FINAL
OVERRIDE TAKEN BY PERMITS DATE: 12/17/12 TIME: 16:11:28
December 17, 2012 4:12:36 PM permits.
-------------------------------------- COMMENTS AND NOTES --------------------------------------